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Marisa Barbieri, Founder and CEO 

Marisa has 23+ years in a variety of IT roles and industries including Interim CIO, CTO, Director of Software Development, Programmer/Analyst and Project Manager at companies such as IBM, Time Warner Cable, Oxford Health Plans, UPS, New York Department of Health and Mental Hygiene, and Hospital for Special Surgery.  Marisa enjoys building teams and recruiting top talent. With Marisa and her team of IT recruiters,  you will get personalized service.  She takes the time to understand your project goals and timelines and helps you find the talent that fits your culture and your projects.  Clients of Competitive Solutions know that Marisa will select the best of breed IT talent and work to find you the most qualified candidates.

In addition to winning several prestigious awards including the Malcolm Baldrige Award for Innovation, Marisa holds a Master of Science degree from NYU/Polytechnic School of Engineering in  Telecommunications Management and is a Board Member of a local hospital and chair of the hospital’s technology committee.


John Thomas Perkins, Director of Operations –  Tom has over 30 years of professional experience. He began his career on Wall Street as an analyst in the Healthcare Industry. His specialties included market research, financial data analysis, and strategic planning. He joined Competitive Solutions in 2007 as the Director of Operations. His responsibilities include developing and implementing revenue growth plans, managing the sales team, evaluating financial data, and producing analytical reports to support the business functions.

Some of our talented CSI team members are featured below:

Ashley Kuhn, EMR Analyst Level II – Ashley is CSI’s Senior trainer, who previously worked at an EMR company and functioned as the lead of the implementation department prior to joining CSI in 2012.  She was instrumental in creating training materials and organizing a training methodology to facilitate effective customer EMR implementations.  She is used to working directly with physicians and nurses on implementations and go lives.  She is a certified HealthMEDX Vision instructor and has led several implementation training initiatives.
Carinne Pagano, EMR Analyst Level II–  Carinne is an LPN with over 10 years direct patient care and 2 years of HIT implementation experience.  She has helped several hospitals and nursing homes transition from paper to EMR technology.  Having “been there and done that”, Carinne helps nurses understand the value of technology in a care setting and facilitates adoption.
Tania Silcott, Consultant – Tania has her doctorate of pharmacy (Pharm D) and is one of CSI’s Senior Clinical Analysts.  She has extensive experience using different EMR platforms (EPIC, MediTech, Vision).
 Angela Lauture, LPN, Consultant – Angela is CSI’s lead Clinical Analyst and an LPN for over 20 years.  She has held various positions in the medical field. She has been a Staff Nurse/Discharge Planner in a level II trauma hospital, a Case Manager in home care, a Wellness Director in a residential alzheimer’s unit and a Nursing Supervisor in an assisted living facility. Angela has assisted CSI in transitioning clients from paper to EMR, as well as trained new nurses on EMRs.

Trish Gern, LPN, Consultant – Trish is one of CSI’s Clinical Analysts.  She has worked in the medical industry for over five years as an EMR Specialist/Trainer.  She has provided training for clinical and non-clinical staff members and enjoys troubleshooting and problem solving. Trish also has knowledge of Meaningful Use and PCMH and how to help a facility meet meaningful use requirements.